Emergency physician with interests in wilderness and prehospital medicine. Medical Director of the Texas State Aquarium, Padre Island National Seashore, Robstown EMS, and Code 3 ER | EBM gone Wild | @EBMGoneWild |
EBM Gone Wild is a blog discussing articles specific to wilderness topics. It will attempt to explain the evidence (or lack thereof) for the treatments typical of wilderness medicine, usually interjected with some humor. Chief editor Justin Hensley, an assistant…
Acute mountain sickness is more than one syndrome. When acute mountain sickness affects up to half of those who ascend beyond 4500m, it's something we really don't know as much about as we would like.
I’ve given lectures on lepidoptera before. There are between 200-3500 envenomations from lonomia spp reported every year in Brazil, but they’ve increased yearly since 2000. This is most likely from increased time in the rain forest by loggers and people…
Well, maybe. The 6 T's though? Testosterone, Tank, Teasing, Tequila, Tattooed, and Tanktop? Yeah, they're not correct. The terms "legitimate" and "illegitimate" as pertaining to snakebites imply a perception of the patient that may cloud your judgement in treating.
Even though we have all (hopefully) been taught that dead snakes can still envenomate people, apparently it hasn't been reported much in the literature. I say this because this case report is in press as of 18 Nov 2016.
Clean water is of utmost importance, whether you’re backcountry hiking, camping, or travelling abroad. Does a handheld UV light work well enough to be safe?
Shoulder dislocations. Few procedures are more fulfilling in the emergency department. A little intra-articular lidocaine, some ketamine (always the answer), some propofol, and you’ve nearly instantaneously fixed a painful condition. Thankfully we’ve moved on from the barbaric techniques pictured below.…
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